Relationship between adherence to mediterranean diet and nutritional adequacy

Parental nutrition knowledge and attitudes play a fundamental role in their children’s food knowledge. However, little is known about their influence on their children’s diet quality and micronutrient intake. Thus, we aimed to assess the association of parental nutrition knowledge and healthy-eating attitudes with their children’s adherence to the Mediterranean dietary pattern and micronutrient adequacy. Parental healthy-eating attitudes and knowledge of the quality of their child’s diet as well as anthropometric, lifestyle, and nutrient intake characteristics were recorded with a basal questionnaire that included a 140-item-food frequency-questionnaire. A total of 287 pre-school children were included in the analyses. Intake adequacy was defined using the Estimated Average Requirements (EAR) cut-off point method. We developed a parental nutrition knowledge and healthy-eating attitudes scores and evaluated whether they were independently associated with 1) children’s inadequate intake (probability of failing to meet ≥3 EAR) of micronutrients, using logistic regression analyses, and 2) children’s diet quality (adherence to the Mediterranean Diet according to a Mediterranean Diet Quality Index for children and adolescents, the KIDMED index), using multiple linear regression models. A higher score in the parental healthy-eating attitudes score was associated with lower risk of failing to meet ≥3 EAR compared with the reference category (odds ratio (OR): 0.3; 95% confidence interval (CI) 0.12–0.95; p for trend: 0.037) and a higher adherence to the Mediterranean diet in the most adjusted model (β coefficient: 0.34; 95% CI 0.01–0.67; p for trend: 0.045). Our results suggest a positive association of parental healthy-eating attitudes with nutritional adequacy and diet quality in a sample of Spanish preschoolers. Public health strategies should focus on encouraging parental healthy-eating attitudes rather than simply educating parents on what to feed their children, recognizing the important influence of parental behavior on children’s practices.

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A comparison of dietary quality and nutritional adequacy of popular energy restricted diets against the Australian Guide to Healthy Eating and the Mediterranean Diet

British Journal Of Nutrition ◽

10.1017/s0007114521002282 ◽

2021 ◽

pp. 1-43

Author(s):

Ella L Bracci ◽

Jennifer B Keogh ◽

Rachel Milte ◽

Karen J Murphy

Keyword(s):

Weight Loss ◽

Mediterranean Diet ◽

Healthy Eating ◽

Energy Content ◽

Grey Literature ◽

Dietary Quality ◽

Limited Information ◽

Nutritional Adequacy ◽

The Mediterranean ◽

Macronutrient Distribution

Abstract There is limited information regarding the nutrition profile and diet quality of meal plans from currently popular weight loss diets in Australia. This includes the energy content (kilojoules), the macronutrient distribution, and the micronutrient composition. Further, these diets have not been compared with current government guidelines and healthy eating principles for nutritional adequacy. Popular diets were identified through grey literature, trending searches and relative popularity in Australia. Meal plans for each diet were analysed using Foodworks Dietary Software to determine food group intake, micronutrient, and macronutrient distribution. Results indicated that all popular diets assessed deviated from government recommended healthy eating principles such as the Australian Guide to Healthy Eating and the Mediterranean Diet. In most cases both popular diets, and the healthy eating principles had low intakes of multiple food groups, low intakes of essential micronutrients, and a distorted macronutrient distribution. Popular diets may not provide adequate nutrition to meet needs, particularly in the long-term and potentially resulting in micronutrient deficiency. When energy restricting for weight loss, meal plans should be highly individualized in conjunction with a qualified nutrition professional to ensure adequate dietary intake.

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Nutritional adequacy of the Mediterranean diet

The Mediterranean Diet ◽

10.1016/b978-0-12-818649-7.00013-8 ◽

2020 ◽

pp. 119-128

Author(s):

Itandehui Castro-Quezada ◽

Blanca Román-Viñas ◽

Lluís Serra-Majem

Keyword(s):

Mediterranean Diet ◽

Nutritional Adequacy ◽

The Mediterranean

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Nutritional Status, Dietary Intake, and Adherence to the Mediterranean Diet of Children with Celiac Disease on a Gluten-Free Diet: A Case-Control Prospective Study

Nutrients ◽

10.3390/nu12010143 ◽

2020 ◽

Vol 12 (1) ◽

pp. 143 ◽

Cited By ~ 5

Author(s):

Elena Lionetti ◽

Niki Antonucci ◽

Michele Marinelli ◽

Beatrice Bartolomei ◽

Elisa Franceschini ◽

...

Keyword(s):

Celiac Disease ◽

Energy Expenditure ◽

Mediterranean Diet ◽

Case Control ◽

Anthropometric Measurements ◽

Gluten Free Diet ◽

Healthy Children ◽

Gluten Free ◽

Nutritional Adequacy ◽

Kidmed Index

The only effective treatment for celiac disease (CD) is a life-long strict gluten-free diet (GFD). Nutritional adequacy of the GFD has remained controversial and a matter of debate for a long time. No large case-control studies on children regarding the nutritional adequacy of the GFD has been performed. In this study, children diagnosed with CD on a GFD for ≥ 2 years were recruited. Controls were age and gender-matched healthy children not affected with CD. In both groups, anthropometric measurements and energy expenditure information were collected. Dietary assessment was performed by a 3-day food diary. Adherence to the Mediterranean diet was estimated by the KIDMED index. Overall, 120 children with CD and 100 healthy children were enrolled. No differences were found between CD children and controls in anthropometric measurements and energy expenditure. In the CD group, the daily intake of fats was significantly higher while the consumption of fiber was lower in comparison with the control group. The median KIDMED index was 6.5 in CD children and 6.8 in healthy controls. The diet of children with CD in this study was nutritionally less balanced than controls, with a higher intake of fat and a lower intake of fiber, highlighting the need for dietary counseling.

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W12.295 A high-mufa mediterranean diet prevents endothelial dysfunction during postprandial lipemia

Atherosclerosis ◽

10.1016/s0021-9150(04)90294-8 ◽

2004 ◽

Vol 5 (1) ◽

pp. 68

Author(s):

F FUENTES

Keyword(s):

Endothelial Dysfunction ◽

Mediterranean Diet ◽

Postprandial Lipemia

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Mediterranean Diet Cuts Death Rate in U.S. Study

Ob Gyn News ◽

10.1016/s0029-7437(08)70037-5 ◽

2008 ◽

Vol 43 (2) ◽

pp. 31

Author(s):

Mary Ann Moon

Keyword(s):

Mediterranean Diet ◽

Death Rate

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Homocysteine Levels Show Significant Differences among Mediterranean Dietary Quality Index Variables Compared to Folate and Vitamin B12 Status in Women

International Journal for Vitamin and Nutrition Research ◽

10.1024/0300-9831/a000237 ◽

2015 ◽

Vol 85 (3-4) ◽

pp. 202-210 ◽

Cited By ~ 4

Author(s):

Ivona Višekruna ◽

Ivana Rumbak ◽

Ivana Rumora Samarin ◽

Irena Keser ◽

Jasmina Ranilović

Keyword(s):

Mediterranean Diet ◽

Diet Quality ◽

Quality Index ◽

Fruits And Vegetables ◽

Reproductive Age ◽

Dietary Quality ◽

Vitamin B ◽

Cross Sectional ◽

Poor Diet ◽

The Mediterranean

Abstract. Results of epidemiologic studies and clinical trials have shown that subjects following the Mediterranean diet had lower inflammatory markers such as homocysteine (Hcy). Therefore, the aim of this cross-sectional study was to assess female diet quality with the Mediterranean diet quality index (MDQI) and to determine the correlation between MDQI, homocysteine, folate and vitamin B12 levels in the blood. The study participants were 237 apparently healthy women (96 of reproductive age and 141 postmenopausal) between 25 and 93 years. For each participant, 24-hour dietary recalls for 3 days were collected, MDQI was calculated, and plasma Hcy, serum and erythrocyte folate and vitamin B12 levels were analysed. Total MDQI ranged from 8 to 10 points, which represented a medium-poor diet for the subjects. The strength of correlation using biomarkers, regardless of group type, age, gender and other measured parameters, was ranked from best (0.11) to worst (0.52) for olive oil, fish, fruits and vegetables, grains, and meat, in this order. Hcy levels showed the best response among all markers across all groups and food types. Our study shows significant differences between variables of the MDQI and Hcy levels compared to levels of folate and vitamin B12 in participants with medium-poor diet quality, as evaluated according to MDQI scores.

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